Church Avenue Family Dental P.c

NPI #1053584409 in Brooklyn, New York

Provider Information

NPI Number: 1053584409
Entity Type: Organization
Organization Name: Church Avenue Family Dental P.c
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 7, 2008
Last Updated: Apr 7, 2008

Practice Location

Address: 1025 CHURCH AVE
City: Brooklyn
State: New York
ZIP Code: 11218-2711
Phone: (718) 469-6077

Authorized Official

Name: FARSHID ASSADERAGHI
Title: D.D.S
Phone: (718) 469-6077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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